- Evolent (Albany, NY)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Insurance Fund, State Title Policyholder Services Representative 1/Trainee 1/2 (NY HELPS) Occupational Category Administrative or General ... person, field-based meetings with policyholders to collaborate on systematic approach to claims mitigation.* In-depth analysis of type and cause of injuries to… more
- Paychex (Rochester, NY)
- …in unemployment hearings to ensure that the client is best represented and the claim is adjudicated effectively and in the best interest of the client. + Researches ... information. + Mentors and trains SUI Client Maintenance Specialists and SUI Claim Specialists to provide direction and assistance on daily tasks and… more
- Mount Sinai Health System (New York, NY)
- …process issues. + Ensures workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean claim rates. + ... satisfaction. + Stays current with government regulations regarding patient access and insurance . + Establish goals, objectives, and budgets for assigned areas, and… more
- Robert Half Finance & Accounting (New York, NY)
- …certified payroll reporting requirements. * Manage benefits programs, including health insurance , retirement plans, and workers' compensation claims . * Handle ... payroll and prevailing wage regulations. * Strong knowledge of workers' compensation claims and insurance reporting. * Experience with Office applications,… more
- Shake Shack (New York, NY)
- …support to our in-house Legal team in litigation, arbitration, agency investigations and claims management. Working closely with members of the Legal team as well as ... legal research, fact investigation, organization and maintenance of complex claims files, document collection, production and preservation, and trial/arbitration… more
- WMCHealth (Valhalla, NY)
- …patients, clinic staff, and other healthcare providers, addressing questions regarding insurance coverage, billing, and patient costs. + Coordinate with patients to ... for specialty medications, tracking expiring authorizations and renewals + Review claims and rejections to determine required follow-up, ensuring timely resolution… more
- MTA (Brooklyn, NY)
- …the incumbent will assist with the management of No-Fault (NF) motor vehicle insurance claims . Responsibilities: + Responsible for the day-to-day activities in ... before submission to the DOL and also review NF claims before submission to various insurance companies. Serves as the Transit Authority's representative at UI… more
- OLV Human Services (Lackawanna, NY)
- …compliance, and financial operations. A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of ... if claims are denied/rejected. + Implement and maintain systems for insurance verification, claims follow-up, and billing support. + Manage and communicate… more
- Zurich NA (New York, NY)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience ... offering the best end to end solution for their insurance needs. + Underwriting, analyzing and generating new and...and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the… more